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I Finally Had A Diagnosis And Laparoscopy 2 Years Ago

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Posted on Sat, 25 Apr 2020
Question: I finally had a diagnosis and laparoscopy 2 years ago (see details below). This solved my problems, but the doctors did not control for the infection and now my problem is back. I do not know how to proceed at this point in my medical history because the solution to my problem is clear and I have every indication for repeat surgery - but my doctors want me to almost die before they do anything. I need a specialist that will take me seriously and to give me a clear path forward that does not include "wait until you are at risk of death."
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Follow up: Dr. Hari Charan Perigela (0 minute later)
I finally had a diagnosis and laparoscopy 2 years ago (see details below). This solved my problems, but the doctors did not control for the infection and now my problem is back. I do not know how to proceed at this point in my medical history because the solution to my problem is clear and I have every indication for repeat surgery - but my doctors want me to almost die before they do anything. I need a specialist that will take me seriously and to give me a clear path forward that does not include "wait until you are at risk of death."
doctor
Answered by Dr. Hari Charan Perigela (1 hour later)
Brief Answer:
I would like to have some more information

Detailed Answer:
Hi
I would like to have some more information
1.What are your present complaints?
2.Whether there is pain Abdomen?If yes,what is the site of pain,any aggravating factors or relieving factors?
3.Whether Vomiting is.present?
4.Do you have Constipation or distension of Abdomen?
If there is Pain,distension of Abdomen associated with Constipation and/or Vomiting,we take up for Emergency surgery as it comes under Acute Intestinal Obstruction.In these patients also,we try with Nasogastric aspiration, Intravenous fluids initially.Some patients respond to this conservative treatment.If there is no response, Surgery is indicated.
If only pain Abdomen is present,it depends on the Surgeon who see you.If the abdomen is soft and there is no distension,many Surgeons will not prefer Surgery.If the pain is severe,he should consider surgery, preferably by Laparoscopy.
Seprafilm can prevent adhesions,but not infection.Infection can occur after any Surgery.
There is no guarantee that Adhesions will not form after another surgical procedure.
Hope I answered your query.If you come back with more information,I will clarify further.
Nothing to worry.
Wish you good health
Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Hari Charan Perigela (0 minute later)
Brief Answer:
I would like to have some more information

Detailed Answer:
Hi
I would like to have some more information
1.What are your present complaints?
2.Whether there is pain Abdomen?If yes,what is the site of pain,any aggravating factors or relieving factors?
3.Whether Vomiting is.present?
4.Do you have Constipation or distension of Abdomen?
If there is Pain,distension of Abdomen associated with Constipation and/or Vomiting,we take up for Emergency surgery as it comes under Acute Intestinal Obstruction.In these patients also,we try with Nasogastric aspiration, Intravenous fluids initially.Some patients respond to this conservative treatment.If there is no response, Surgery is indicated.
If only pain Abdomen is present,it depends on the Surgeon who see you.If the abdomen is soft and there is no distension,many Surgeons will not prefer Surgery.If the pain is severe,he should consider surgery, preferably by Laparoscopy.
Seprafilm can prevent adhesions,but not infection.Infection can occur after any Surgery.
There is no guarantee that Adhesions will not form after another surgical procedure.
Hope I answered your query.If you come back with more information,I will clarify further.
Nothing to worry.
Wish you good health
Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Hari Charan Perigela (42 minutes later)
Yes,

There is regular constipation, severe abdominal pain almost daily, chronic abdominal pain daily. Distension daily. Sometimes if it gets too much I vomit, but that is not every day.

There is severe pain to the touch localised in the upper left quadrant of the abdomen, there is also pain in the midline abdomen (about 15 cm above the bellybutton), but also in that specific spot I can feel something rolling up and down sometimes (this is also very painful).

I try to regulate it by eating a semi-liquid to liquid diet, and then my digestion is semi-normal. When I try to defecate, to do it successfully, every muscle from my lats downward needs to be maximally contracted and I have to manipulate my body (move side-to-side while I am sitting on the toilet). This is exhausting and painful and happens every day.

My prostate is completely normal.
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Follow up: Dr. Hari Charan Perigela (0 minute later)
Yes,

There is regular constipation, severe abdominal pain almost daily, chronic abdominal pain daily. Distension daily. Sometimes if it gets too much I vomit, but that is not every day.

There is severe pain to the touch localised in the upper left quadrant of the abdomen, there is also pain in the midline abdomen (about 15 cm above the bellybutton), but also in that specific spot I can feel something rolling up and down sometimes (this is also very painful).

I try to regulate it by eating a semi-liquid to liquid diet, and then my digestion is semi-normal. When I try to defecate, to do it successfully, every muscle from my lats downward needs to be maximally contracted and I have to manipulate my body (move side-to-side while I am sitting on the toilet). This is exhausting and painful and happens every day.

My prostate is completely normal.
doctor
Answered by Dr. Hari Charan Perigela (26 minutes later)
Brief Answer:
You need Surgery

Detailed Answer:
Hi
As per your description,it looks like you have developed Adhesions again.
You need Adhesionolysis , preferably by Laparoscopy.
Your Surgeon should get convinced and proceed with surgery.If he is not willing,you can consult another Laparoscopic surgeon/Surgical Gastroenterologist and proceed further.
Nothing to worry.
Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Hari Charan Perigela (0 minute later)
Brief Answer:
You need Surgery

Detailed Answer:
Hi
As per your description,it looks like you have developed Adhesions again.
You need Adhesionolysis , preferably by Laparoscopy.
Your Surgeon should get convinced and proceed with surgery.If he is not willing,you can consult another Laparoscopic surgeon/Surgical Gastroenterologist and proceed further.
Nothing to worry.
Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Hari Charan Perigela (31 minutes later)
Thank you so much
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Follow up: Dr. Hari Charan Perigela (0 minute later)
Thank you so much
doctor
Answered by Dr. Hari Charan Perigela (1 minute later)
Brief Answer:
Thank you for your response

Detailed Answer:
Hi
Thank you for your response
Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Hari Charan Perigela (0 minute later)
Brief Answer:
Thank you for your response

Detailed Answer:
Hi
Thank you for your response
Regards
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2716 Questions

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I Finally Had A Diagnosis And Laparoscopy 2 Years Ago

I finally had a diagnosis and laparoscopy 2 years ago (see details below). This solved my problems, but the doctors did not control for the infection and now my problem is back. I do not know how to proceed at this point in my medical history because the solution to my problem is clear and I have every indication for repeat surgery - but my doctors want me to almost die before they do anything. I need a specialist that will take me seriously and to give me a clear path forward that does not include "wait until you are at risk of death."